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fhrF.'��crqretm ��NSTRUCTION � C <br /> CITI'OP <br /> everett PERMIT PERMITNO. 2JU4J <br /> 259 -8810 <br /> p DEMOLITION ❑ COMBINATION O BUILD�NG �MECHANICAL �1 PLUMBING ❑ SIGN <br /> OWNER ��RILRODRE55 GITV ZIP PMONE <br /> fid and Tlelanie Throckmorton 4409 Ridgemont Dr. Everett, IdA 98201 252-7997 <br /> TENRNT MAILAOORE55 CITY ZIP PHONE <br /> Samr� as above <br /> qqdiITCGTOfi�E51GNEN MqILADDRE55 CITY 21P PNONE <br /> GENERR�WI:TRACTOR MAILAODFESS CITY 21P PMONE LICENSEr <br /> MECHANICALCONTPACTOR MAiLAU0f1E55 CITY 21P PNONE LICENSE� <br /> PLUMBINGCONTRRCTOR MqILAppRE55 CITV 21P PHONE LILENSE• <br /> Cozy Heating Inc. 20221 67th Ave. NE Arlington, SJA 98223 435-4904 COZYHI193-27 <br /> CUSS OF WORR <br /> ❑ NEW C ADDITION m ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ BUILDING HELOCATION <br /> CONTALT PERSON AND PMONE N0.IF OTHER THAN ABOVE <br /> CONTRACT PRICE OF WORK:$ 2,033.95 <br /> DESCRIBE WORK ANO SOUr1RE FOOTAGE INVOLVED <br /> Change oil furnace to natural gas <br /> VROPOSEO USE OF pUIL01NG <br /> Single Family <br /> LEGRL OESCRIPTION OF PROVENTY�SHOW pELOW OR ATTFCH FOUR COolES� <br /> LOT- BLOCN_�OF <br /> Y��21�'U 10�Go�p1 IJ411lIt11Jl 11 �!-MT <br /> JOBRODRESS <br /> 4409 Rid emont Dr. �5 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) f✓C—AiHNDLG UNITS—H.P. <br /> BATHTUB 1 FORCED AIR SVSTEMS—B.T.U. M EA. <br /> LAVATORY�WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SIIOWER CLOTMES DFYEFS <br /> KITCMEN SINK d DISP. VENTILATION FAN <br /> DISMWASHER RANGEHOOD <br /> LAUNDRYTRAV WATERHEATER <br /> CLOTIIES WASHER WOOD STOVE <br /> URINAL MEIAL FIREPLACE d CHIASNEY <br /> DRINKING FOUNTAIN FIREPLACE�NSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOWPREVENTERS 1 GASPIPING <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SINY.(SERVICE—BAR.ETC.) <br /> SUBTOTAL f SUBTOT�L S <br /> PERMIT f PEflMIT f <br /> TOTALFEE f TO7ALFEE i <br /> FRONT SETBAGN REAF SETOnCK ' SIDE SETBACN PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE 20NE LOT AREA VAC/NT SIIE FEES BUILOING CODE FEE <br /> ❑YES ❑ NO <br /> LYP[OfCONSlPUCiIONALLOWABLE 7YPEOiCON51FUC110NAL7VAl °i�i�o���� NOOFUNELliNG11NI1S BUILDWG S <br /> PLUMOING <br /> SIZEOFpL�G NOOFSTORIES O45EMENT - — <br /> ❑VES ❑ NO MECHANICAI ' <br /> OCGUPANClLOAD fIRESPRINNLEN5RC0D MEIGHTLiMITATION OTHER <br /> ❑ vES ❑ NO <br /> AenSON voa srnirvrc�ens STATE DUILDING SURCHAFGE <br /> STATEENERGYSURCHARGE <br /> APP�ICATION�CC I1V NLANSAPPROVEOOY CITY OF EVERETT � <br /> LOCAL SALES PUBLIC WORKS <br /> TAX CODE IS TOTAL 65 00 <br /> 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT� <br /> PERMI7S EXPIRE IF WORK IS NOT COMMENr,EU WITHIN � <br /> ADDRG:iS I Il 5 L l.' �' : <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />